经阴道彩超结合临床对宫腔粘连的诊断价值研究

Study of diagnostic value of transvaginal color ultrasound combining with clinical data for intrauterine adhesions

目的进一步提高宫腔粘连的超声诊断准确率。方法对476例超声诊断的宫腔粘连病例进行回顾性分析。结果 476例经阴道彩超诊断的宫腔粘连患者,超声主要表现:内膜回声连续性中断,内膜厚薄不均。超声结合临床表现,将患者分成轻度粘连、中度粘连和重度粘连。71例重度粘连患者于我院行宫腔镜治疗。经阴道彩超结合临床,对宫腔粘连的诊断准确率达100%。结论经阴道彩色多普勒超声是诊断宫腔粘连首选的检查手段。经阴道彩超结合临床,对宫腔粘连具有很大的诊断价值,对粘连的分级有助于指导临床制定治疗计划。

Objective To improve the ultrasound diagnostic accuracy rate of Intrauterine Adhesions. Methods Retrospectively analysis of 476 intrauterine adhesions cases were diagnosed by the transvaginal color ultrasound. Results Main imaging characteristics of 476 IUA cases were endometrial echo interruption,uneven thickness,et al. Combining ultrasound with clinical performance,the data was classified into three types： mild IUA,moderate IUA,severe IUA. 71 cases of severe IUA were treated with hysteroscopy surgery. Conclusion Transvaginal ultrasound with clinical data diagnosis for the intrauterine adhesions has higher practical value. The classification is helpful for making the treatment plan.